Job title: Sr. Claims Officer – IP
Company:
Job description: Davidson Management Consultants have been mandated to recruit a Medical Doctor – Senior Claims Office IP for their client in Abu Dhabi which is a large Insurance company.We are looking for qualified doctors (Bachelor’s in Medicine) with a minimum of 2 to 5 years of experience within healthcare / insurance company as a Senior Claims Officer IP.You will be responsible for Receiving, reviewing, and processing medical insurance claims submitted by policyholders or healthcare providers.The Sr. Claims Officer will adjudicate claims based on policy terms, coverage limits, and medical necessity criteria.
- Verify the accuracy and completeness of claim forms, medical records, and supporting documentation.
- Investigate questionable claims by contacting healthcare providers, requesting additional information or documentation, and analyzing medical records.
- Make decisions on claim approvals, denials, or requests for additional information based on investigation findings and policy guidelines.
- Ensure timely and accurate processing of approved claims for payment, including coordinating with finance departments and third-party administrators.
- Communicate with policyholders, healthcare providers, and internal stakeholders regarding claim status, decisions, and any required actions.
- Maintain detailed records of claims, correspondence, and investigation outcomes in accordance with regulatory requirements and company policies.
- Ensure compliance with healthcare regulations, coding standards and company policies throughout the claims process.
- Provide excellent customer service to policyholders and healthcare providers, addressing inquiries and resolving issues related to claims.
This is a one-year contract role.Only qualified doctors are eligible to apply for this vacancy.Salary: AED 9,500 per month.Company ProfileDavidson Healthcare Recruitment is a leading Healthcare and Leadership headhunting consultancy based in Dubai, with branches in UK and India. Our Medical recruitment Consultants are trained on the PQR for all medical specialties, and medical subspecialties for all the countries. We are leaders in Physician, Surgeon and Allied Healthcare Recruitment for Hospitals, Medical Centers, Clinics and Medical Universities, headhunting Tier 1 and Tier 2, Board Certified, Fellowship trained Physicians and Surgeons, ABMS, CCT, CCST, ARAB Board, RCPSC, FRC Australia and New Zealand, OBERARZT and CMSA among others, across all medical specialties and subspecialties from across the globe.We also specialize in recruiting DHA, DHCC, DOH and MOH licensed Physicians and Allied Healthcare professionals within UAE.
Expected salary: 9500 per month
Location: Abu Dhabi
Job date: Sun, 30 Mar 2025 02:56:31 GMT
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